I was on Prozac, and didn't have any skin problems. I never had any until I was put on Lithium at age 27 having backne and constant facial breakouts for the 1st time was mortifying! So on some level I empathize with you. Until I read your post, I wasn't aware tha AD's could worsen acne, my sister, who does suffer from it, was put on an AD, and her acne is making a comeback. I should notify her, thank you. I hope somebody has some advice for you soon maybe try reposting in Doc Clyde's forum? He's quite helpful